Tuesday 22 July 2014

Ovulation Induction Cycle

It's been awhile since I have written a post! I've had a couple people check in with me to see if everything was okay, and if I was going to write something again soon (thanks for that!), but honestly I was not in the right mind set. I had all of these ideas of what I wanted to write but I felt that it was too dark and depressing, so I kept putting it off. I feel that I am in a much better place now, emotionally, and am ready to share how things have been going. 

I guess I will catch you up on what has been going on the past couple months. We started our first medicated cycle which consisted of taking Letrozole (Femera) tablets from Day 3 to Day 7, and then, when the follicles had grown enough (preferably over 20mm) and my blood work indicated my levels were progressing well enough, I had to give myself a shot of Ovidrel to induce ovulation. So in the meantime, it was back to the clinic for more blood work and ultrasounds. I visited the clinic on Day 3, Day 9, Day 10 and Day 11. Thankfully I didn't have to go any longer than that for three days in a row really takes a toll on me! Initially it was a surprise when the nurse told me I had to give myself a needle, I was not expecting that at all! When we met with the Doctor and discussed next steps he didn't mention anything about having to have a needle. The nurse explained that the needle often accompanies the tablets for the Ovulation Induction (what they call the medicated cycles) to ensure that ovulation occurs. It sounded as though the needle was a surprise for a lot of couples because the Doctor often forgets to mention it...

When I gave myself the needle that first time I was so nervous! My husband asked me if I wanted him to do it, but I felt that it was something I needed to do on my own. I read all of the instructions (and precautions) and 'stuck ‘er in there'. Now, I don’t have a fear of needles per say, I just don’t particularly like them. It is so much easier to turn away and 'go somewhere else' when someone else is giving it to you, not so much when you are doing it to yourself! Anyways, the rest of the evening I was so scared I was going to develop OHSS (Ovarian Hyperstimulation Syndrome), that I kept monitoring each and every symptom I had (this is where my Mom would tell you I have a mild case of hypochondria). I was quite hilarious for the first hour! Of course I was fine, other than some cramping, tenderness and an overall feeling of being bloated. If anything the pills had a worse (or comparative) side effect for I would wake up in the middle of the night with hot flashes and some nausea.

At this point the clinic told us when to have intercourse and then scheduled me in for a pregnancy test two weeks later. Right from the start, when they said you have to go for a pregnancy test I was incredibly scared and nervous. I personally preferred the idea of just waiting for Aunt Flow to arrive, for I felt that it wouldn't get my hopes up so much. Well that nervousness and anxiety did not go away. The weekend just prior to the test I was a mess! I had a million thoughts running through my head ...what if I wasn't pregnant? Ok, we'd keep on trying. But what if I was pregnant? What if my levels weren't good and I needed to have medication to help everything along? What if we did the medication and it still didn't work and miscarried? ... Every possible scenario was running through my head. I believe that this would happen to anyone in a similar situation however with my history with Generalized Anxiety Disorder I feel my brain goes on hyper anxiety mode! 

Well I went for the blood work and then had to wait around for the dreaded results. I was incredibly grateful that good friends of ours messaged that morning inquiring if they could come over for a visit. Their timing was impeccable for they arrived shortly after I got back home and were just loading their little ones back in the car when I got the call. The blood work was negative. I put a smile on my face and shared the news with my friends and then started to cry. My one friend came over to me and embraced me in a nice long hug, no words of encouragement were shared, no hopefully next time works, just an embrace to acknowledge the pain I was feeling. It was exactly what I needed at that moment and I was just so happy that they were still there so I had someone to talk to.  Off and on for the rest of the day and into the next day I would cry. I just couldn't stop myself. It would sneak up on me and take hold. As much as I told myself there was only a slight chance that we would have success on our first round, I felt hope. I kept envisioning being pregnant and feeling our baby within me. I felt that since I was scheduled for a pregnancy test there must be some level of hope and optimism! However, all of that was shattered with the word 'negative'. My dreams and hopes sank and I feel into despair. Why, why me? Why us? Why can't I even get pregnant? There were times I was actually thinking that I would like to at least get pregnant and miscarry than to not conceive at all, for at least I would know that I could get pregnant. But honestly, I don't want that. I would never wish that on anyone. After hearing stories from family and friends who have miscarried I feel guilty for having even thought it. 

We have started our second round of Femera and Ovidrel and just hoping for the best. We were told by the clinic that there is only a 20 - 25% chance of success each month and that they typically recommend 3 - 4 months with the Ovulation Induction before meeting with the Doctor again. At this time we may just try these two cycles and then try on our own in August, for both of our parents are down for visits and it is going to be an incredibly busy and stressful month as it is. 

My Transvaginal Endoscopy with possible Laproscopy is scheduled for the beginning of September and more and more I am feeling that this is the route we will be going and yet at the same time I want this. More and more I have been questioning endometriosis and I want to have the answers as to whether or not I have it and if it is contributing to our struggles.  I often wonder what would happen if we do get pregnant but want to try for a second child, will we struggle just as much? I want to have all the answers so that we can prepare ourselves accordingly in the future. Now you may ask, why do you suspect endometriosis? The amount of pain that I have in my right pelvic area/lower back during my period and during ovulation is not normal! Even for someone with Fibromyalgia. I had been thinking back to when my body pain started to get worse, and I don't know if there is anything to it, but when I went off of the birth control pill in August of 2012 my pains got worse and worse. There were other things going on as well such as a new job and travelling however, by that December I was in extreme pain, triple what it had been prior to August. Also, when I went for the Sonohystography there was some indication that something was going on due to the saline fluid still being present in my tubes two days later.

Right now I am working on keeping myself healthy emotionally and physically. I have been going to a personal trainer to assist with exercise and although it is a much slower progress than when I went 2 years ago, we are getting there. I spent so much time, money and effort on losing weight before our wedding to get a healthier body and prepare myself for pregnancy and in the 2 years since I have gained double what I lost. That alone has big guilt factors but I try to remind myself that pain levels have been a huge reason why I've gained (okay, to be honest emotional eating has been a contributor as well). I know that my weight is not the reason why we haven't conceived, for like I said I was much smaller when we started on this journey, but I do feel that weight isn't helping the cause with both conception and pain. I am also getting more active with yoga. I attend a gentle flow class each week and am going to start incorporating my own home practice. This is going to be key for relaxation and overall mental health! We'll see how it all goes but at this point any progress is good progress!


Finally, I just want to take a moment and thank everyone who has followed our story thus far. I have a lot of emotions and some are quite awkward and difficult but I have felt a lot of relief in the ability to share, so thank you for your continued support and encouragement! This is a difficult journey especially when there are pregnancy announcements and baby announcements galore but I know that we will ultimately be okay. We have grown stronger as a couple and we can conquer this, one way or another!